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| विद्यालय सं० / School No :- | पुस्तक नं० / Book No. | क्र० सं० / S.R No. | प्रवेश सं० Admission No. |
| Affiliation No. | Renewed upto | Status of School: |
| 1.विद्यार्थी का नाम / Name of the pupil | :- | AYUSH KUMAR |
| 2.माता का नाम / Mother’s Name | :- | ANJALI DEVI |
| 3.पिता का नाम / Father’s Name | :- | SONU |
| 4. राष्ट्रीयता / Nationality | :- |
| 5. ???? ???? ???? / ?? ??? / ????? ???? ?? ???????? ??? |
| Whether the pupil belongs to SC/ST/OBC Category :- |
| 6. ?????? ???????? ?? ?????? ???????? /Date of birth according to the Admission Register(?????? ??? /in figure) :- 05-12-2019 |
| (?????? ??? / in words ) 05-Dec-2019 |
| 7. ???? ?????????? ?? ??????? ?????? ?????????? ?? / Whether the student is failed:- |
| 8. ?????????? ???? / Subjects offered :- |
| 9. ????? ????? ????? ?????????? ?????? ?? : (???? ??? ) :- PLAY GROUP |
| Class in which the pupil last studied (in words) :- zero |
| 10. ????? ???????? / ????? ??????? ??? ?????? / School/ Board/ Annual Examination last taken with result:- | |
| 11. ???? ???? ????? ??? ????? ?? ??????? ?? /Whether qualified for promotion to the next higher class: |
| 12.???? ?????????? ?? ???????? ?? ??? ??? ?????? ?? ?????? ?? ???? ?? / :- | |
| Whether the pupil has paid all dues to the vidyalaya. :- | |
| 13. ???? ?????????? ?? ??? ????? ?????? ?????? ?? ??? ?? ,??? ?? ?? ???? ??????? :- | |
| Whether the pupil was in receipt of any fee concession, if so the nature of such concession:- | |
| 14.???? ?????????? ??? ??? ??? ????? / ?????? ?? ? ????? ?? :- | |
| Whether the pupil is NCC cadet/Boy Scout/ Girl Guide (Give details) :- | |
| 15. ???????? ?? ?????????? ?? ??? ??? ???? ?? ???? :- | |
| Date on which pupil’s name was struck off the rolls of the vidyalaya :- | |
| 16.???????? ????? ?? ???? /Reason for leaving the school :- | |
| 17.????? ???? ?? ?????????? ?? ??? ?????? / No. of meetings up to date :- | |
| 18.?????????? ?? ???????? ?????? ?? ??? ???????????/ No. of school days the pupil attended :- |
| 19. ?????? ???? /General conduct :- |
| 20. ???? ???????? ?????? / ???? ?????? / ???????? ?????? ??? ??? ?? / | |
| Whether school is under Govt./ Minority/ Independent category :- | |
| 21.??? ???? ??????? /Any other remarks :- | |
| 22. ?????? ???? ???? ???? ?? ???? /Date of Issue the certificate :- |
?????????? /Prepared by (Name of Designation) |
????????? /Checked by (Name of Designation) |
?? ????????? / ???????? ?? ???? (Name of Designation) |
| ??? :-??? ?? ??????????? ???? ??????? ?????? ??????????? ?? ?? ???????? / ??????? ???????? ??????? ????? ?????? ????? ??????????? ????? ?????? |
| Note:- If this T.C. is issued by the officiating/ Incharge Principal, in variably countersigned by the Manager- V.M.C |